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HomeMy WebLinkAboutMCMAHON #1 BLK 3 LT 22McMahon #1
Block 3
Lot 22
#017-361-02
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP241018
Work Type: SepticTank Upgrade
Tax Code Number: 01736102000
Site Legal Address: MCMAHON #1 BLK 3 LT 22 G:2835
Site Mailing Address: 4001 DOROSHIN AVE, Anchorage
Owner: CRAIG WILLIAM M
Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING
This permit is for the construction of:
Effective Date
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
2/20/2024
2/19/2025
22050
❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Received By: t S S ` ' 1 ���/`� Date:
Issued By: Date: Z 20 20 Z
y
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
ON -SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 017-361-02
Property owner(s) BILL CRAIG
Mailing address 4001 DOROSHIN AVE ANCH AK
Site address SAME
Day phone
Legal description (Sub'd., Block & Lot) MCMAHON #1 BLK 3 LT 22
Legal description (Township, Range & Section)
Lot Size 22,050 Sq. Ft. Number of Bedrooms
II
APPLICATION IS FOR:
APPLICATION IS AN: TYPE OF DWELLING:
(N all that apply)
Absorption Field
❑
Initial ❑ Single Family (SF) El
Septic Tank
0
(w/wo ADU)
Upgrade El
Holding Tank
El
❑
(D) Renewal ❑
Renewal
Privy
❑
Multiple Dwellings ❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: 3 � D Waiver Fees:
Date of Payment:
Receipt Number:
Permit No. CS
Date of Payment:
Receipt Number:
Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
Feb. 20, 2024
Municipalities of Anchorage
On-Site Water and Waste Water Section
4700 Elmore Rd
Anchorage, Alaska
Phone 343-7904
Re: New septic tank permit
Legal: MCMAHON #1 BLK 3 LT 22
To whom it may concern:
This is a request for a septic tank permit on the above referenced lot. This tank
replacement will not impact any of the neighbors or encroach on any wells, septic or
open water issues. The tank will be decommissioned per the Uniform Plumbing
Code (UPC).
Sincerely
Michael N. Anderson, P.E.
4661 Natrona
Anch, Ak 99516
Ph 727-8864
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241018, Curtis Townsend, 02/20/24
FENCE
10' UTILITY
EASEMENT
1"=50'
UTILITY
EASEMENT
EXISTING
HOUSE
INSTALL NEW 1,250 GALLON PLASTIC
SEPTIC TANK W/ 20" RISER, DOUBLE
CO AFTER THE TANK. DECOM. OLD
TANK PER UPC, MAINTAIN 5' FROM
FIELD AND 10' FROM BLDG.
SCALE:
DJRDRAWN:
DATE:
MCMAHON #1 BLK 3 LT 22
Anchorage, Alaska
BILL CRAIG
2/20/2024
CAP PAD
WELL
WELL
WELL
WELL
D
O
R
O
S
H
I
N
A
V
E
SEPTIC
SEPTIC SEPTIC
SEPTIC
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241018, Curtis Townsend, 02/20/24
•
O,
•; .�-� Municipality of Anchorage0
On-Site Water and Wastewater Program ;,..J'j:�
(907) 343-7904 f ��1
,:, rr 1
itlAY 4z [U18
Certificate of On-Site Systems Approval z
017-361-02 �r' ti
Parcel I.D. Expiration Date:
1. GENERAL INFORMATION
Complete legal description McMahon #1 Block 3 Lot 22
Location (site address) 4001 Doroshin Ave.
Current Property owner(s) Gregory Griffin Day phone
Mailing address 4001 Doroshin Ave. Anchorage, AK 99516
Real Estate Agent Day phone
2. TYPE OF DWELLING:
Single Family (w/wo ADU)
❑ Duplex •
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well Individual
Individual Water Storage ❑ Holding Tank ❑
Community Class Well ❑ Community ❑
Public Water System LI Public Sewer ❑
WaiverNariance request for: Distance:
^�
Received bY: PDate: 6'9(1� (/0
U
COSA to be released to the engineer,unless otherwise requested by the engineer.
COSA Fee $ 5.24 Waiver Fee $
Date of Payment 5/23/i2 Date of Payment
Receipt Number UJB 9 1C-16 Receipt Number
COSA# 05(1812- 0- Waiver#
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined
in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater
disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that
based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply
and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances,and regulations in effect at
the time of installation.
In conducting an adequacy test,I attempt to provide a thorough,conscientious engineering analysis of the system in accordance with MoA COSA
guidelines and regulations.The reported results describe the performance of the system under the conditions encountered at the time of the test,
and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil
condition,ground water levels that may fluctuate during the year,and the water usage of the family being served by the system.These conditions
are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future
performance of the system,nor do they guarantee that there are no hidden defects or encroachments.Therefore we cannot provide any warranty
for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed
above.
Name of Firm Pannone Engineering Services LLC Phone (907) 272-8218
Address P.O. Box 100217, Anchorage Ak. 99510
Engineer's Printed Name Steven R Pannone Date 5/21/2018
Y*: a z TH •*
6. D,S/D SIGNATURE e••••••• •`� •
�L System#1 Approved for Li bedrooms •
t••' •.Steven R. Pannone. _
System #2 Approved for bedrooms ��� ��• CE-8149O
f;
Disapproved 'k1 \A?OFE�SONA�
Conditional approval for bedrooms, with the following stipulations:
A(te.A.6 ,`G,p ,E) G s co-;C. ZC v d
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By: t.^-- G( Original Certificate Date: 6— ( 2_- (,g7
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality
of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advis�y
Well Flow Advisory ther1 C Q l./,L tc7
COSA blue sheet_f ,. ��
If more than 1 septic system is on the lot:
COSA Checklist# 1 of 1
Structure served by this system i
Certificate of On-Site Systems Approval Checklist
Legal Description: McMahon #1 Block 3 Lot 22 Parcel ID: 017-361-02
A. WELL DATA
Well type Private If A, B, or C provide PWSID# Well Log (Y/N) Y
Date completed 6/28/1978 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y
Total depth 92 ft. Cased to 92 ft. Casing height(above ground) 12+ in.
FROM WELL LOG AT INSPECTION
Date of test 6/28/1978 3/1/2018
Static water level 72 ft. 78 ft.
Well production 4 g.p.m. 3'6 g.p.m.
WATER SAMPLE RESULTS:
Coliform NEG colonies/100 mL Nitrate 7.74 mg/L
Arsenic NDug/L Date of sample: 5/8/2018 Collected by: PES
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Steel Date installed 6/2/1978
Tank size 1250gal. Number of Compartments 2 Cleanouts(Y/N) Y
Foundation cleanout(Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N/A
Date of pumping 10.--1 (o .it' Pumper t'L (44,-,:(-
C.
V ,r",:C. ABSORPTION FIELD DATA
Date installed 6/2/1978 Soil rating (g.p.d./ft2 or ft2/bdrm) 125 SF/BDRM System type TRENCH
Length 34 ft. Width 3 ft. Gravel below pipe 8 ft.
Total depth 8.25 ft. Eff. absorption area 524 ft2 Monitoring tube Y Depression over field N
Date of adequacy test 3/1/2018 Results (Pass/Fail) PASS For 4 bedrooms
Fluid depth in absorption field before test 37 in. Water added 600 gal. New depth 45 in.
Elapsed Time: 270 min. Final fluid depth 37 in. Absorption rate >= 600+ g.p.d.
N
Any rejuvenation treatment(past 12 mo.) (Y/N &type) If yes, give date
D. LIFT STATION
Date installed Size in gallons Manhole/Access(Y/N)
"Pump on" level at in. "Pump off' level at in. High water alarm level at in.
Datum Cycles tested Meets alarm&circuit requirements?
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot 100+ On adjacent lots 100+
Absorption field on lot 100+ On adjacent lots 100+
Public sewer main 75+ Public sewer manhole/cleanout 100+
Sewer/septic service line 25+ Holding tank 100+
Animal containment areas 50+ Manure/animal excrete storage areas 100+
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5+ Property line 5+ Absorption field 5+
Water main 10+ Water service line 10+ Surface water 100+
Wells on adjacent lots 100+
ABSORPTION FIELD ON LOT TO:
Property line 10+ Building foundation 10+ Water main 10+
Water Service line 10+ Surface water 100+ Driveway, parking/vehicle storage 10+
Curtain drain 50+ Wells on adjacent lots 100+
F. COMMENTS
���\\\\\,
G. ENGINEER'S CERTIFICATION OF A�q l h
I certify that I have determined through field inspections and /�0p>'�.•• • ��� y#�
review of Municipal records that the above systems are in *: ,.•• TH /\ -.A-.9
conformance with MOA COSA guidelines in effect on this date. 4•••••••li��•• •••• ,
Engineer's Printed Name Steven Pannone ,.• •:S{even .•Panriorie:••
Date
5/21/2018 ���g•• CE-8149• ,
r
COSA canary sheet_2-6-15.doc
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT (• ;-'- \, 907-343-7904
On-Site Water and Wastewater Section \' y' Fax: 343-7997
www.muni.org/onsite
Septic Tank Advisory
Certificate of On-Site Systems Approval # OSC181222
Subdivision: McMahon #1 Block:3, Lot: 22
The septic tank for this property is 40 years old. The average life for a steel septic
tank is 20 years. Typical replacement costs range from $6,000 to $9,000.
This advisory must be attached to all copies of the subject Certificate of On-Site
Systems Approval.
This is an example of what the metal of a 30 year old steel tank MAY look like.
,.. � m :3a bit ..
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.ir - .. 4;.. ;1�,', .A L '. 2.018 Y•4 lo
Mailing Address: P.0. Box 196650*Anchorage,Alaska 99519-6650 *www.muni.org
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT • �'� 907-343-7904
On-Site Water and Wastewater Section / Fax: 343-7997
www.muni.org/onsite
Nitrate Advisory
Certificate of On-Site Systems Approval # 0SC181222
Subdivision: McMahon #1, Block: 3, Lot: 22
A water sample revealed a nitrate concentration of 7.74 milligrams per liter (mg/L).
The Environmental Protection Agency (EPA) has established a maximum
contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While
private wells are not subject to this regulation, EPA standards are based on existing
health information and can therefore be used to gauge the relative quality of water
from private wells. Please see the attached "Nitrate Fact Sheet" for important
information regarding nitrate.
This advisory must be attached to all copies of the subject Certificate of On-Site
Systems Approval.
Mailing Address: P.O. Box 196650* Anchorage,Alaska 99519-6650 *www.muni.org
Nitrate Fact Sheet
From Northern Testing Laboratories, Inc.
Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate
is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells.
SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of
ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the
oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners,
food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil.
TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is
associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of
young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood
stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry
oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the
concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered
from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization.
TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home
water treatment systems such as softening or iron filtration does not readily remove nitrate. The best
method for limiting nitrate in well water is source control. This can include avoiding overdosing of
fertilizer near the well and maintaining good separation distances between septic tank leach fields and
the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged
ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate.
TESTING: Nitrate analysis is usually done by one of the several "wet chemical" methods using a
spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect
the activity of nitrate in water. This laboratory uses several different wet chemical methods approved
under the public water supply laboratory certification program. They also have test kits available, which
the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can
monitor the change in nitrate levels from their well. They recommend comparing the test kit results
against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend
using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples.
Mailing Address:P.O. Box 196650*Anchorage,Alaska 99519-6650 *www.muni.org
J0,c PALrr.OA
- - Municipality of Anchorage ,,,,cni
} On-Site Water and Wastewater Program - , y ,.� :(
R) P.O. Box 196550 4700 Elmore Road
Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax: (907)343-7997
-' http://www.muni.org/onsite du
iii-
°ACHORaGE Depa I'tinea C
Review Comments
Engineer: PANNONE ENGINEERING SERVICES 5/25/2018
Legal Description: MCMAHON #1 BLK 3 LT 22
Parcel ID: 01736102000
Permit: OSC181222 WellSeptic
Report Type: COSA
Completed By: T.Ecklund
The application has been reviewed and the following comments have been generated. These are to be satisfactorily
addressed prior to MOA approval:
1.System is a 4 Bedroom Citi View says this is a 5 bedroom.. Please resolve v
• 2. This is a 40year old tank. Please verify integrity.
3.Please provide a pumper receipt
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AS-BUILT SURVEY 1" = 30'
NO CORNERS SET THIS DATE
I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY
OF THE FOLLOWING DESCRIBED PROPERTY
LOT 22, BLOCK 3, MACMAHON SUB. FIRST ADD'N.
ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE
THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN
CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS
NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES.
EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLAT , ARE NOT SHOWN EXIST OTHER THAN NOTED.
HEREON I UNLESS INDICATED) DATED AT ANCHORAGE,ALASKA THIS 9TH DAY OF
NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE MAY , 2018
PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS.
ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE.
HOLT LAND SURVEYING
9309 GROVER DRIVE
ANCHORAGE,AK 99507
10719, FB 131-53, SCAN 345-5513